NPIMap

Organization Active NPI

Marguerita Blaker & Associates, PLLC

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1659012789
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARGUERITA BLAKER & ASSOCIATES, PLLC
Practice address
2400 Crownpoint Executive Dr Ste 100
Charlotte, NC 28227-6726
Phone
(827) 680-0466
Fax
(910) 782-2026
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marguerita Sitrin Blaker, MANPI 1467847426
Title
Owner
Phone
(704) 488-4127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2400 Crownpoint Executive Dr Ste 100
Charlotte, NC 28227-6726

Mailing address

2400 Crownpoint Executive Dr Ste 100
Charlotte, NC 28227-6726
Phone (828) 680-0466

Other identifiers 1

IdentifierTypeStateIssuer
1467847426MedicaidNC

National Provider Directory

National Provider Directory

Locations

2400 Crownpoint Executive Dr
Ste 100
Charlotte, NC 28227
Phone (828) 680-0466

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1659012789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CROWNPOINT EXECUTIVE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276726",
            "telephone_number": "828-680-0466",
            "fax_number": "910-782-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CROWNPOINT EXECUTIVE DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282276726",
            "telephone_number": "827-680-0466",
            "fax_number": "910-782-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGUERITA BLAKER & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BLAKER",
        "authorized_official_first_name": "MARGUERITA",
        "authorized_official_middle_name": "SITRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-488-4127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467847426",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.